Physician
Nazario Aviles, Clarissa
Nazario Aviles, Clarissa was paid $12K by Medicaid between Nov 2018 and Dec 2024, across 14 billing codes. Its largest line is 96160, — 61% of everything it billed.
33Billing provider infoNAZARIO AVILES, CLARISSA
VEGA BAJA, PR 00694
VEGA BAJA, PR 00694
33aNPI1255385977assigned 05/19/2006
33bProvider typeGeneral Practice Physician
28Total paid$12K
24GClaims13,900
24DCodes billed14
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#390 of 1,195
Median peer was paid$2K
This provider vs. median5.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 126 | $93.01 | |
| 2019 | 2,413 | $1K | |
| 2020 | 1,565 | $678.46 | |
| 2021 | 2,076 | $500.23 | |
| 2022 | 2,274 | $3K | |
| 2023 | 2,635 | $6K | |
| 2024incomplete | 2,811 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 61% | 227 | 222 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 21% | 96 | 96 | $2K |
| 99441 | 13% | 1,895 | 1,747 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.2% | 10,754 | 9,386 | $613.97 |
| 99201 | <1% | 12 | 12 | $18.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 44 | 44 | $0.01 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 162 | 154 | $0.00 |
| 3075F | 0% | 14 | 14 | $0.00 | |
| 3079F | 0% | 26 | 22 | $0.00 | |
| 3074F | 0% | 66 | 54 | $0.00 | |
| 3008F | 0% | 164 | 150 | $0.00 | |
| 1159F | 0% | 194 | 177 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.